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29yo M new patient c/o worsening depression, exhibiting grandiose thinking and flight of ideas. Only med is Wellbutrin. BMI 22, exam/ROS unremarkable. Curious CBC today; microcytic, hypochromic cells, elev RDW, but no anemia and elevated RBC. Will repeat at FU visit in 2wks, but curious to hear thoughts.

46 years old lady known to have Diabetes mellitus, B Thalassemia trait and Obesity. Her HGB 10.4 and Ferritin 10. Celiac screening is negative. She is on Ferrous sulfate 200mg BID. No hx suggestive of bleeding and she is taking iron-rich food. Her HGB will drop to 8 if she stops taking ferrous supplements. What is your approach in managing her?

26 y/o with no past medical history presents with LUQ abdominal pain X1 day. Complains of some fatigue. Hgb 10.9, MCV 66.6, Plt 124. What's your differential diagnosis?

48 years old lady known to have diabetes mellitus, Hypertension, Dyslipidemia, Depression and Obesity. C/o fatigue and low appetite. Examination was unremarkable. Her CBC always showed high WBCs. ESR 25. CRP 8. I have attached CBC and Peripheral blood smear. What is the next step?

This patient 2 years old presented with swelling of frontal bone on one side with no signs of inflammation. And no history of trauma. No previous past history and surgery. Birth history. The baby was born 7month. Other history. Unremarkable.exam : normal. CBC shows MCV of 65 and Hb of 7.4; others were normal. This skull X-ray above. Any DDX plz and management and any abnormality on the X-ray?

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?